The Republic of Latvia Cabinet of Ministers of 2 June 1998 rules no. 207 in Riga (No. 28, 7. §) mandatory requirements for medical institutions ambulatoraj Issued in accordance with article 56 of the law on the treatment of i. General questions 1. terms used in the rules: 1.1. outpatient medical treatment authority — the medical establishment where persons who do not require hospitalization, provides primary and secondary health care services;
1.2. doctorate (ambulance) — the medical establishment that the patient provides primary health care services;
1.3. feldšer point: the medical establishment that the patient provides primary health care services and led by a certified paramedic, and located in the vicinity of the place of residence of the patient;
1.4. the health point, a hospital located in other institutions, in the territory of the undertaking or business concerned and the authorities of the undertaking or business students or workers provide medical assistance;
1.5. the days a stationary, medical institution or body that patients who do not need medical care and supervision of persons outside the institution concerned, provide diagnostic and medical treatment and where he provided beds;
1.6. polyclinic-type medical centres medical establishment regardless of the form of ownership and type of activity, where people give primary and secondary health care services;
1.7. special treatment Cabinet-medical institution or body to which the patient perform therapeutic, preventive and health-enhancing procedures or manipulations.
2. this regulation lays down minimum requirements, which are subject to outpatient treatment is provided in the conditions of high quality diagnostic and therapeutic assistance and patient care according to the respective outpatient institutions level of qualifications and specialization, as well as emergency medical assistance.
3. these provisions govern: 3.1 requirements outpatient medical institution in the service of the quality assurance system;
3.2. certain functions, the minimum number of rooms in the hospital outpatient setting;
3.3. the minimum diagnostic, medical and patient care equipment in the hospital outpatient setting;
3.4. emergency medical assistance to the required minimum of medicinal products;
3.5. requirements for outpatient medical treatment person qualifications authority;
3.6. requirements for medical services in outpatient Department of operations of the authority.
4. These provisions apply to the following institutions for treatment: ambulatoraj 4.1 health;
4.2 feldšer point;
4.3. doctorate (ambulance);
4.4. medical practice;
4.5. Special therapy room;
4.6. polyclinic.
II. General requirements for outpatient treatment in the service quality system in 5. Outpatient institutions, bringing outpatient medical institution in the service of the quality system to determine the quality of service requirements and ensure that they are implemented. Outpatient treatment services manager to plan and to take measures for the implementation of the requirements. Outpatient treatment services to ensure high-quality, solid and documented staff training according to medical technology level. Outpatient institutions head of outpatient treatment or authority employees shall designate a responsible person for outpatient medical institution in the service of the quality system requirements.
6. Outpatient medical treatment of members of the institution and the individual responsibilities, powers and responsibilities shall be determined in accordance with the job description, the hospital's outpatient Manager's orders and regulations.
7. hospital's outpatient Manager develop and approve the job description that States: 7.1. requirements for medical treatment and education and qualifications of the employee;
7.2. the treatment of the person and the employee's rights, duties and responsibilities of everyday life, increased the hazard and emergency medical situations.
8. To provide outpatient medical institution in the quality of services provided, analyse outpatient diagnostic, therapeutic institutions and care work and carry out the following measures (activities referred to in this paragraph and the results documented): 8.1. regular treatment services provided by quality control;
8.2. the causes of errors and lack of research;
8.3. development of measures for the prevention of errors and deficiencies, and corresponding control measures;
8.4. patient complaints;
8.5. the proposal for the examination of medical service quality improvement.
9. This provision is 5-8. the documentation referred to in the outpatient medical institution must be regularly updated. Legislation and other outpatient institutions require copies of documents should be available for all outpatient treatment services employees to which the work relates the information referred to in those documents. Responsible for this compliance referred to in paragraph 1 are outpatient institutions Manager or his designated outpatient institutions responsible officer.
III. General requirements for outpatient treatment authority 10. Outpatient medical treatment facility should be in the following areas: 10.1 the patient waiting area;
10.2. the patient's decision-making space (Office);
10.3. the sanitary node in patients and staff. If the outpatient treatment in a residential building, sanitary knot machine separately from the living space of the sanitary node.
11. A surgical outpatient treatment services in the profile, in addition to the provisions referred to in paragraph 10 of the premises must be in the following areas: 11.1. pārsiešan room;
11.2. space (Division) outpatient operations.
12. The entrance in outpatient treatment services must be fitted so that it can enter the persons with reduced mobility.
13. At the entrance to the outpatient in the hospital or in a visible position inside them must be a plate indicating the doctor names, specialties and making time. Patient acceptance in a prominent place on the premises must be physician specialty certificates or copies thereof.
14. Outpatient treatment in the disinfectants used must be listed in the regulations. Disinfection and sterilization measures must be carried out in accordance with the outpatient medical institution in disinfection and sterilization of the developed plan.
15. the Outpatient in the hospital must be such that the medical examination, medical and patient care equipment: 15.1 equipment and medical drugs that ensure aseptic techniques should be maintained and antiseptik are respected;
15.2. the medical devices for single and for prolonged parenteral drugs and fluids to enter;
15.3. the medical devices and drugs to stop external bleeding;
15.4. medical device of artificial lung ventilation;
15.5. medical devices respiratory permeability;
15.6. the medical devices in the stomach content and gastric suction for rinsing;
15.7. medical devices wound pārsiešan;
15.8. devices for moving and transporting patients;
15.9. the medical devices and medications for individual staff to the sanitary and hygienic protection;
15.10. sterile maternity suite;
15.11. closet for the storage of medicinal products;
15.12. the refrigerator;
15.13. aukstumsom or cold container imunobioloģisk transportation of preparations (if outpatient treatment facility in preventive vaccination).
16. Outpatient medical institution in emergency medical care should be the Ministry of welfare specific medication.
17. Outpatient medical treatment person qualifications authority must comply with the following requirements: 17.1. physician must be certified in the appropriate specialty;
17.2. independently practicing as a midwife for feldšer or must be certified and registered in the Ministry of welfare and the treatment of the person feldšer the register of midwives;
17.3. the certified physician or certified under the authority of feldšer permitted to work nurses and technician, registered in the Ministry of welfare of the person in the register of medical treatment;
17.4. a certified doctor permitted to work under the guidance of certified doctors, but medical teaching under the guidance of a doctor — residents.
IV. Requirements for the health point, feldšer point, doctorate and physician practice Doctorate, in addition to the 18 that provision referred to in paragraph 10 of the premises must be a procedure room.
19. the health point, feldšer point, doctorate and family (general practice) doctor's practice in addition to the provisions referred to in point 15 of the equipment must be for medical devices in disease diagnosis, treatment and patient care that a validly approved by the Ministry of welfare.

20. An Internist, gynecologist, surgeon, Pediatrics, eye doctor, otolaringolog, skin and sexually transmitted diseases medical practice equipment must comply with the respective specialty doctor's requirements.
V. requirements type of hospital medical centres for medical centres in the following 21 departments: 21.1. patient registration area or place;
21.2. the outpatient department;
21.3. the diagnostic section: 21.3.1. laboratory investigation;
21.3.2. functional Diagnostics;
21.3.3. rentgendiagnostik;
21.3.4. endoscopy;
21.4. the physical therapy department.
22. If this rule 21.3 and 21.4. departments referred to medical centres, services are not in accordance with the agreements concluded between the other treatment services.
23. Medical centres can be fixed in a day.
24. outpatient medical centres in chapter diagnostic, therapeutic and nursing function for addition to this provision in paragraph 10 and 11 rooms must be referred to the following premises: 24.1. procedure room;
24.2. a room for patient care equipment.
25. outpatient medical centres in chapter staff must provide the following: 25.1. wardrobe;
25.2. staff hygiene needs.
26. outpatient medical centres in addition to the provisions in chapter 15 of the above equipment must be healing and patient care equipment: 26.1. oxygen equipment;
26.2. the medical devices for the purpose of Enema;
26.3. medical devices, urine retention or incontinence;
26.4. movement devices for patients with support or physical disabilities.
27. Doctor's Office should be the rule in point 15 above, and speciality concerned according to the medical devices and diagnostic patient treatment and care, which in accordance with the procedure laid down in the law, approved by the Ministry of welfare.
28. the Ophthalmologist's Office and otolaringolog Office, provision should be made for the possibility, where appropriate, to obfuscate using curtains or blinds.
29. Medical centres, part of the investigation of the laboratory performs the following laboratory diagnostic examinations: 29.1. General clinical examinations;
29.2. biochemical tests.
30. Medical centres in part of functional diagnostics perform the following studies: 30.1. standard lead during lead during exercise and breast;
30.2. external respiratory functional Diagnostics;
30.3. veloergometrij.
31. Medical centres in the rentgendiagnostik part of the following studies: 31.1. chest, abdominal and pelvic cavities fluoroscopy and radiography;
31.2. skeletal bone radiography;
31.3. ultrasonoskopij.
32. Medical centres in the following part of the endoscopic studies: 32.1. upper endoscopy;
32.2. rektosigmoskopij.
33. Medical centres of the Department of physical therapy must be in the following areas: 33.1. physical medicine procedures;
33.2. physical medicine doctor's Office;
33.3. the procedure for the preparation of the premises;
20.8.-the patient and staff hygiene needs.
34. the physical therapy department medical centres must have the following equipment: 34.1. physical therapy equipment;
21.3. the Chair or couch (in each procedure);
3. place the patient's clothing to place (each procedure);
21.4. the various profile support in the patient's body for fixation.
35. Medical centres in the pārsiešan room should be separately distinguished in the aseptic and septic pārsiešan pārsiešan sites, or individual equipment in aseptic and septic in pārsiešan pārsiešan.
36. the operations division of outpatient medical centres must have the following facilities: 36.1. room for manipulation and preparation of the patient for the operation;
36.2. the operating room the Hall;
36.3. the operating room;
36.4. follow-up space patient monitoring.
37. the outpatient surgery department in addition to the provisions of paragraph 26 of the said equipment must be medical devices, disease diagnosis, treatment and patient care that a validly approved by the Ministry of welfare.
38. General anesthesia for outpatient surgery department must use medical devices in accordance with the procedure laid down in the law, approved by the Ministry of welfare.
39. If general anesthesia is used, it must be a separate room or a place for the observation of the patient pēcnarkoz. If general anaesthesia used Volatile anesthetics must ensure patient izelpojam the air discharge in the environment.
Vi. Requirements for hospital days 40. daily hospital performs the following functions: 24.9. diagnosis, treatment and care;
40.2. the accommodation.
41. The day fixed under the therapeutic task scope can have the following departments: 25.5. emergency medical assistance and patient admission Department;
41.2. the diagnostic, treatment and care;
41.3. outpatient surgery department.
42. daily hospital diagnostic, treatment and care must be in Chapter 10 of these rules referred to in the following rooms and spaces: 42.1. the House of the patient;
26.2. showers or bath rooms for patients;
26.3. procedure room;
26.3. space for the preparation of a patient for diagnostic examinations, and manipulation;
26.4. the clean dry warehouse and dirty laundry warehouse.
43. the staff day in hospital be made that rule 25, paragraph spaces.
44. days in the hospital must be possible from any patient days in hospital beds during business hours to call medical personnel.
45. The date to be fixed this provision in paragraph 31 above, the medical diagnostic and patient care equipment.
46. The day the hospital's outpatient surgery department must meet these rules 36, 37, 38 and 39 of the requirements referred to in paragraph 1.
VII. Requirements for special therapy room 47. special treatment study must be the rule in point 15 above the mandatory equipment.
48. If special care is not the Office outpatient Department of the authority, it must meet these rules 10, 11, 12, 13, 14, 15, 16 and 17 of the said requirements.
VIII. Transitional matters 49. Creating a design task in outpatient institutions construction, account should be taken of the requirements of this regulation.
50. These provisions to meet these minimum requirements to provide outpatient institutions and outpatient supervisor authority, and the owner is a condition for treatment services certificate.
51. the rules shall enter into force on 1 July 1998.
 
Prime Minister g. Coast Minister of welfare, Minister of Justice of Rasnač.